AS- OCT ASSISTED DIAGNOSIS AND FOLLOW UP OF A SUCCESSFULLY MANAGED POST CATARACT DESCEMENT MEMBRANE DETACHMENT
Published 2025 - 29th ESCRS Winter Meeting
Reference: PO135 | Type: Presented Poster & Poster | DOI: 10.82333/1mzx-1p50
Authors: ELENI-NANTIA DERDERA 1 , PALAIOLOGOS ALEXOPOULOS 2 , ANASTASIA LIOUTA* 1 , MARIA CHRONI 1 , GEORGE KONTADAKIS 1
1OPHTHALMOLOGY,PAMMAKARISTOS HOSPITAL,ATHENS,Greece, 2OPHTHALMOLOGY,STATE UNIVERSITY OF NEW YORK,NEW YORK,United States
Purpose
To present a case of post cataract Descemet membrane (DM) detachment that was followed with anterior segment optical coherence tomography (AS-OCT) for diagnosis and management.
Setting
Pammakaristos Hospital of Divine Providence
Methods
An 87-year-old female patient underwent phacoemulsification and IOL implantation in her left eye. Preoperative examination revealed dense cataract and pseudoexfoliation syndrome in her left eye. She was under topical treatment for glaucoma in both eyes. The surgery was otherwise uneventful. Three weeks post operatively there was significant corneal edema due to DM detachment that was barely visible during slit lamp examination. Anterior segment optical coherence tomography (AS-OCT) revealed severe peripheral and central DM detachment. The central corneal thickness (CCT) was more than 780μm. The patient was managed surgically with injection of air in the anterior chamber and two venting incisions at the peripheral cornea. At the end of surgery 40% of AC was left with air and the patient was instructed to maintain a supine position postoperatively.
Results
Immediately postoperatively AC-OCT confirmed complete reattachment of the DM and CCT was approximately 700μm. The first postoperative day the cornea was clear with complete reattachment of the DM with a mild peripheral fold on slit lamp examination. CCT on AS-OCT was approximately 530μm. One week postoperatively CCT was 530μm and 1 month postoperatively it was reduced to 508μm.
Conclusion
AC-OCT in this case vividly demonstrated the postoperative DM detachment which cause severe corneal edema and the rapid corneal thinning after successful reattachment.